2013 Transportation Survey for People with Disabilities in Wisconsin

Please complete the 2013 Transportation Survey for People with Disabilities in Wisconsin. The results of this survey will be used by the Wisconsin Disability Policy Partnership to improve transportation options in Wisconsin. Thank you for completing the survey!

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* 1. Do you have adequate transportation to get where you need and want to go?

Yes

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* 2. Transportation impacts my ability to: (check all that apply)

Work

Shop in the community

Get around and participate in the community

Get to medical appointments and take care of my health

Find care providers who can get to my home

See my family

Other (please describe)

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* 3. Please describe how any of the issues you checked in Question 2 impact your life.

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* 4. If you don’t have enough access to transportation, what types of transportation would best meet your needs if it was available and affordable? (check all that apply)

Public transportation (i.e. bus routes)

Paratransit

Van or car pool

Cab or taxi

Volunteer driver drives her/his vehicle or my vehicle

Paid driver to drive my vehicle

Other (please specify)

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* 5. What are the barriers to you using transportation? (check all that apply)

Fares are too high

Transportation does not go where I need it to go

Rides are only available for medical reasons

There is no accessible transportation in my community

There is limited transportation on weekends and evenings

Rides are often cancelled or don’t come on time

I can’t find a volunteer or paid driver

I don't have anyone available to accompany me on a ride

I don't know all the transportation options in my community

Other (please specify)

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* 6. Which of the following solutions would improve transportation in your community: (check all that apply)

Create a transportation system that allows me to get from one town to the next in my county

Create a transportation system that allows me to cross county lines

A centralized place you could contact in your county or community for any type of transportation services

Help employers organize or support transportation for their employees

Create a carpooling and vanpooling network in my community

Create a volunteer and/or paid driver program in my community

Other (comment)

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* 7. About You (optional)

Name

Hometown

County

Phone

Age

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* 8. Disability – I have: (check all that apply)

An intellectual/developmental disability

A physical disability

A mental illness

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* 9. I am:

Helping a person with a disability complete the survey

A Self-advocate

Parent of a child under age 18